CMS Price Transparency Data
Group therapy session
Facility: Mimbres Valley Medical Center
Billing Code: 90853 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$106
about 1.0× the $104 Medicare rate · typically $40–$187
modeled estimate · not a bill or quote
Medicare pays $104 Fair price $106 Cash price $180 Hospital's list price $359
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
5 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente
Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.
| Insurance company | Price range | vs. Medicare |
|---|---|---|
| UnitedHealthcaremajor | $280 | 270% |
| Blue Cross Blue Shieldmajor | $73 - $359 | 70% |
| Aetnamajor | $323 | 311% |
| Cignamajor | $300 | 289% |
| Humanamajor | $287 | 277% |
| Presbyterian | $323 | 311% |
Government programs also on file: Medicare.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Mimbres Valley Medical Center
Compare: Group therapy session at other NM hospitals
- UNM Hospital · Albuquerque $94
- Dr Dan C Trigg Memorial Hospital · Tucumcari $116
- Lincoln County Medical Center · Ruidoso $116
- Presbyterian Hospital · Albuquerque $176
- Peak Behavioral Health Services, LLC · Santa Teresa $200
Insurance negotiated median for the same procedure, sorted lowest first.